Individual provider Active NPI

Ryan Johnson, M.D.

  • Ophthalmology Physician
  • Edina, MN
National Provider Identifier
1407380397
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
69625 Issued in MN
Practice address
7450 France Ave S Ste 100
Edina, MN 55435-4799
Phone
(952) 832-8100
NPI assigned
Apr 17, 2017
Last updated
Jul 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 69625 MN Primary

Addresses

Primary practice location

7450 France Ave S Ste 100
Edina, MN 55435-4799

Mailing address

7450 France Ave S Ste 100
Edina, MN 55435-4799
Phone (952) 832-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210724000059 MN Practitioner - Ophthalmology 8628489895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Wisconsin, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7450 France Ave S
Suite 100
Edina, MN 55435-4799
Phone (952) 832-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.52 of 100Reported as group
Quality
80.37
Promoting interoperability
96
Improvement activities
40
Cost
74.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Edina Eye Physicians and Surgeons PA CurrentSince Sep 7, 2021 Accepting new patients
Edina Eye Physicians and Surgeons PA Ophthalmology Current Accepting new patients
Edina Eye Physicians and Surgeons PA Ophthalmology CurrentSince Sep 7, 2021 Accepting new patients
Edina Eye Physicians and Surgeons PA Ophthalmology Past Accepting new patients

Locations

14050 Nicollet Ave
Ste 101
Burnsville, MN 55337
Phone (952) 435-4170

111 Hundertmark Rd
Ste 105N
Chaska, MN 55318
Phone (952) 906-7824

290 Main St NW
Ste 100
Elk River, MN 55330
Phone (763) 241-0373

7450 France Ave S
Ste 100
Minneapolis, MN 55435
Phone (952) 832-8100

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1407380397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 FRANCE AVE S STE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354799",
            "telephone_number": "952-832-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 FRANCE AVE S STE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354799",
            "telephone_number": "952-832-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-17",
        "last_updated": "2021-07-22",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "69625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.